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Laparoscopic treatment of lymphoceles following kidney transplantation by intraperitoneal fenestration and omentoplasty

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Abstract

The recent development of endoscopic surgery and its use in treating several abdominal and thoracic surgical pathologies lead us to suggest its application in the treatment of posttransplant lymphoceles. The authors report two cases treated by the laparoscopic approach. Recurrence occurred in one of them. The technique is described and its place among other therapeutic modalities is discussed.

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References

  1. Ancona E, Rigotti P, Zaninotto G, Comandella MG, Morpurgo E, Costantini M (1991) Treatment of lymphocele following renal transplantation by laparoscopic surgery. Int Surg 76: 261–263

    Google Scholar 

  2. Braun WE, Banowsky LH, Straffon RA, Nakamoto S, Kiser WS, Popowniak KL, Hewitt CB, Stewart BH, Zelch JV, Magalhaes RL, Lachance JG, Manning RF (1974) Lymphoceles associated with renal transplantation. Am J Med 57: 714–718

    Google Scholar 

  3. Brockis JG, Hulbert JC, Patel AS, Golinger D, Hurst P, Saker B, Haywood EF, House AK, Vanmerwyk A (1978) The diagnosis and treatment of lymphoceles associated with renal transplantation. Br J Urol 50: 307–312

    Google Scholar 

  4. Bry J, Hull D, Bartus SA, Schweizer RT (1990) Treatment of recurrent lymphoceles following renal transplantation. Remarsupialisation with omentoplasty. Transplantation 49: 477–480

    Google Scholar 

  5. Byron RL, Yonemoto RH, Davajan V, Townsend D, Bashore R, Morton DG (1966) Lymphocysts: surgical correction and prevention. Ann J Obstet Gynecol 94: 203–207

    Google Scholar 

  6. Cockett ATK, Netto ICV (1979) Increased lymphatic drainage from renal transplant. Urology 29: 571

    Google Scholar 

  7. Gomes AS, Scholl D, Feinberg S, Simmons RL, Amplatz K (1979) Lymphangiography and ultrasound in management of lymphoceles. Urology 13: 104–108

    Google Scholar 

  8. Greenberg GM, Prlof LJ, Grossman RA, Naji A, Barker GH (1985) Treatment of lymphocele in renal allograft recipients. Arch Surg 120: 501–504

    Google Scholar 

  9. Howard RJ, Simmons RL, Najarian JS (1976) Prevention of lymphoceles following renal transplantation. Ann Surg 184: 166–168

    Google Scholar 

  10. Linke CA, Cockett ATK, Lai MK, Youssef AM (1978) The use of pedicled grafts of omentum in the repair of transplant related urinary tract problems. J Urol 120:523–526

    Google Scholar 

  11. Madura JA, Dunbar JD, Cerilli JG (1970) Perirenal lymphocele as a complication of renal transplantation. Surgery 68: 310–313

    Google Scholar 

  12. McCullough CS, Soper NJ, Clayman RV, So SSK, Jendrisak MS, Hanto DW (1991) Laparoscopic drainage of a posttransplant lymphocele. Transplantation 51:725–727

    Google Scholar 

  13. Meyers AM, Levine E, Myburg JA, Goudie E (1977) Diagnosis and management of lymphoceles after renal transplantation. Urology 10: 497–492

    Google Scholar 

  14. Moreau JF, Leski M, Beurton D, Cukier J, Michel JR, Kreis H, Lacombe M (1973) Lymphocèles obstructives après transplantation rénale. Am Radiol 16: 471–480

    Google Scholar 

  15. Rubay JE, Squifflet JP, Pirson Y, Dardenne AN, Alexandre GPJ (1983) Les lymphocèles après transplantation rénale. J Chir (Paris) 12(5): 303–309

    Google Scholar 

  16. Scweitzer RT, Cho S, Kountz SL, Belzer FO (1972) Lymphoceles following renal transplantation. Arch Surg 104: 42–45

    Google Scholar 

  17. Shaver TR, Swanson III SJ, Fernandez-Bueno C, Kocandrle V (1993) The optimal treatment of lymphoceles following renal transplantation. Transpl Int 6: 108–110

    Google Scholar 

  18. Spigos D, Capek V (1975) Ultrasonically guided percutaneous aspiration of lymphoceles following renal transplantation: a diagnostic and therapeutic method. J Chir Ultrasound 4: 45–46

    Google Scholar 

  19. Teruel JL, Escobar EM, Quereda C, Mayayo T, Ortuno J (1983) A sample and safe method for management of lymphocele after renal transplantation. J Urol 130: 1050–1059

    Google Scholar 

  20. Van Sonnenberg E, Wittich GR, Casola G, Wing VW, Halasz NA, Lee AS, Withers C (1986) Lymphoceles: Imaging characteristics and percutaneous management. Radiology 161: 593–596

    Google Scholar 

  21. Williams G, Howard N (1981) Management of lymphatic leakage after renal transplantation. Letter to the editor. Transplantation 31: 134

    Google Scholar 

  22. Zincke H, Woods JE, Aguilo JJ, Leary HJ, De Weesd JH, Frohnert PA, Hattery RR (1975) Experience with lymphoceles after renal transplantation. Surgery 77:444–450

    Google Scholar 

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Mourad, M., Bertin, D., Gigot, J.F. et al. Laparoscopic treatment of lymphoceles following kidney transplantation by intraperitoneal fenestration and omentoplasty. Surg Endosc 8, 1427–1430 (1994). https://doi.org/10.1007/BF00187351

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  • DOI: https://doi.org/10.1007/BF00187351

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